Individual
DR. GREG A HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1715TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007880
—
WA
01
—
6010488
REGENCE
WA
01
—
P00096244
RAILROAD MEDICARE
WA
Enumeration date
12/06/2007
Last updated
08/28/2014
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